HomeMy WebLinkAboutBuilding permit application (2) Planning& Development Services
P_ 1"i r' Building& Code Regulation Division
2300 Virginia Avenue
c o Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#o 002-
I,Vd - y� ;`trrrensed as a(n)C(tracto Engineer/Architect
(Please.print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about 1 did personally inspect the roof deck nailing
ate)(
work at: (,z.727 I?L�
(Job site address)
Based upon that examination I have determined the installation was done according to the current
editi f the Florida Existing Building Code Section 708 or the product approval submitted (whichever
is stri ent).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF ( -P —
Sworn to_apd subsGribed}�e {phis_ day of 20
by 1 „ ! Who is personally known to me or who has produced
as identification.
J�tPPV p�i
Notary Public,State of Florid ��`� state8L«N V4U
g Notary: =� o COmmis�in'.d8 Nc�tarHN
Signature of Nota �,OF.F *' � n# pG Y puhllc
Commission Number: (Seal) "�� " y tdm rf ijg 2idb76
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